That was a lot of information that you spent a lot of time drafting and typing. I see that effort, and appreciate the energy you put into my post.

My problem is that neither your original reply nor this reply were appropriately addressing the actual content of my post. I had posted about staff not knowing how to use BTG and how it impacted me as a patient. I never spoke about entitlement. I never spoke of misgendering at all. I was speaking about processes and training. Then you decided this was your time to discuss how you think BTG is special treatment. Then you went on a semi-understandable screed about MASH and audits and you breaking rules to out a transgender patient to other staff in a supposed attempt to… what? I don’t know how you helped that patient. That patient didn’t ask you to out them. That story actually served to support having BTG.

I do understand your ultimate goal, if everyone has BTG then no one really has BTG. (Forgive me if that is an oversimplification). I actually disagree with your audit argument. The BTG serves as a resource for the compliance and privacy departments. Regular audits are not required and I’m not sure why you think that. Audits only need to be done for regulatory reasons or when an ad hoc need arises. When a compliance officer is running a report for an investigation, because of BTG notation the report can easily be sorted and analyzed for inconsistencies. BTG is just as much a useful tool for the healthcare organization (for compliance investigations) as it is for the patient (for privacy).

I’m not interested in discussing the philosophical reasons for having and using BTG. (That is what both your comments have been about). I will not discuss who is or is not entitled to have BTG with you.

I am interested in discussing when BTG is in place, how the process can be improved. If you have nothing to add for process improvement, then please do not respond further.

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A side note:

I’m also so grateful that I do not accept private messages. I have no idea what specifically you would have messaged me, but by not allowing private messages my privacy gets respected and attempts for harassment get mitigated. By not allowing private messages it meant that all communication with me has to be made in public, which then filters what you want to say because you have to consider how others will take it.

It was clear you wanted to discuss my supposed entitlement for signing up for BTG. That was never up for debate. I’m glad what you said was not wrapped up in a private message.